| Dr Shane Michael Hodge, DO | |
|
102 Professional Park Ste C, Oxford, NC 27565-2554 | |
| (919) 603-0368 | |
| (919) 690-0842 |
| Full Name | Dr Shane Michael Hodge |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 102 Professional Park Ste C, Oxford, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548498975 | NPI | - | NPPES |
| NC2803A | Other | NC | MEDICARE PTAN, INDIVIDUAL |
| 5918846 | Medicaid | NC | |
| 2335816 | Other | NC | MEDICARE PTAN, GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2011-00897 (North Carolina) | Primary |
| 208600000X | Surgery | 5101016839 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Granville Health Systems | Oxford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granville Health Inc | 0840341822 | 9 |
| Entity Name | Wilkes Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245496413 PECOS PAC ID: 0648348177 Enrollment ID: O20081009000821 |
| Entity Name | Granville Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336380708 PECOS PAC ID: 0840341822 Enrollment ID: O20090702000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Michael Hodge, DO Po Box 986, Oxford, NC 27565-0986 Ph: (919) 690-3487 | Dr Shane Michael Hodge, DO 102 Professional Park Ste C, Oxford, NC 27565-2554 Ph: (919) 603-0368 |
Dr. Shanna R Sprinkle, MD, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Ste B, Oxford, NC 27565 Phone: 919-603-0368 Fax: 919-690-0842 | |
Dr. Naveen Kumar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Professional Park Ste C, Oxford, NC 27565 Phone: 919-603-0368 Fax: 919-690-0842 |